LEGACY HEALTH ADMINISTRATIVE

Transcription

1 LEGACY HEALTH ADMINISTRATIVE Policy #: Origination Date: 11/97 Last Review Date: 7/14 LH Board Approved Page 1 of 5 SECTION: ADMINISTRATIVE/MANAGEMENT TITLE: DEATH WITH DIGNITY POLICY 1. Legacy Health places a high value on life and is committed to compassionate care and promoting the quality of life. Legacy Health respects a patient s right to self-determination and it respects the relationship between the patient and caregivers. 2. Oregon and Washington laws recognize certain rights and responsibilities of qualified patients and healthcare providers under each state s Death With Dignity Act ( Act ). Under either state s Act, a healthcare provider is not required to assist a qualified patient in ending that patient s life. 3. In the performance of their duties, Legacy Health employees and volunteers shall not influence a patient s decision or assist a patient to end the patient s life under the Act. All discussions must occur in a non-biased, factual manner without any attempt to influence the patient s decision. 4. No patient will be denied other medical care or treatment because of the patient s interest or participation under the Act. The patient will be treated in the same manner as all other Legacy Health patients. DEFINITIONS 1. Assist - Dispensing drugs, prescribing drugs, obtaining or retrieving drugs, assisting administration or administering drugs. 2. Attending Physician - The physician who has primary responsibility for the care of the patient and treatment of the patient s terminal illness. This policy applies to employed physicians and contracted physicians in performing functions covered under their contract with Legacy. It does not apply to physicians in private practice. 3. Consulting Physician - A physician who is qualified by specialty or experience to make a professional diagnosis and prognosis regarding the patient s disease. 4. Employee - Any one of the following persons who performs services for or at any operating unit: a. Primary clinical caregiver - a Legacy employed physician, nurse or social worker. b. Other employees - all other employees and volunteers not included above. c. Independent contractors - all contracted service providers, including contracted physicians, agency nurses and other contracted clinical staff. Such persons shall be subject to this policy only with respect to the services they are contracted to perform.

2 Death With Dignity Page 2 of 5 Independent contractors are not bound by this policy in performing functions not covered by their Legacy contract. 5. Qualified Patient - Patients 18 years of age and older who are residents of Oregon or Washington who have been diagnosed with a terminal illness (less than six months to live), have voluntarily expressed a wish to die and complied with the requirements of the Act as set forth in their state of residence. GUIDELINES 1. Oregon and Washington laws recognize certain rights and responsibilities of qualified patients to participate under the Act and request a physician to prescribe medications to end a qualified patient s life. It is illegal for anyone other than a qualified patient to administer the drugs. 2. No employee or independent contractor will encourage or discourage a patient s request nor communicate a value judgment about the patient s choices. 3. If a patient makes a request for information or medication to end their life under the Act: a. The employee or attending physician employed or contracted by Legacy cannot assist the patient and must advise the patient of this fact. b. The employee must inform the patient of the employee s obligation to notify the primary clinical caregiver and/or the attending physician so the request can be documented in the medical record. c. The employee or independent contractor may discuss the issue with the patient and/or refer the patient to knowledgeable resources. In every circumstance, however, any discussion must occur in a non-biased, factual manner without any attempt to influence the patient s decision. All referrals must be to non-biased factual resources only. Legacy employees are required to present the patient with all available options or to refer them to someone who can clarify the patient s available options. d. An attending physician employed by or on contract with Legacy may provide information and discuss the patient s wishes. If the patient desires more information or wishes to proceed, the physician should refer the patient to a physician who is not employed by or on contract with Legacy for further information or discussion. An attending physician employed by or on contract with Legacy may act as a consulting physician under the Act (see definition above). PROCEDURE FOR LEGACY HOSPITALS 1. If a patient desires to end his/her life under the Act in a Legacy Hospital, the patient must formally notify the Legacy hospital where they are receiving care of their participation under the Act and provide the hospital with the necessary documentation. Without appropriate notice and documentation, any medications brought to the hospital by the patient will be confiscated and any patient who attempts suicide will be resuscitated. 2. When a patient notifies an employee of his/her consideration or desire to end his/her life under the Act, the employee will notify the patient s primary clinical caregiver of the situation. The primary clinical caregiver (physician, nurse, social worker) will assume responsibility for follow-up. 3. The primary clinical caregiver (physician, nurse, social worker) will follow-up by:

3 Death With Dignity Page 3 of 5 a. Informing the patient of the primary clinical caregiver s obligation to notify the attending physician of the request. b. Informing the patient of the requirement for appropriate documentation. c. Informing the patient s attending physician as soon as possible but no longer than one working day after being notified by the patient. d. Ensuring the medical record is complete and all required documentation is included. A copy of the DNR and copies of any advance directives are to be included. The medical record must contain a copy of the legally required form Requests for Medication to End My Life in a Humane and Dignified Manner to avoid resuscitation (see Attachment I for Oregon form and Attachment II for Washington form). The physician must ensure the medical record contains evidence of compliance with all prerequisites of the Act. e. Communicating with other clinicians involved with the patient to ensure continuity of care. f. Documenting all communication in the patient s medical record. 4. If an employee is unable to do the acts specified above because of the nature of the patient s request, the employee must request a reassignment from his or her manager. Reassignment will be handled in the usual manner. 5. All employees including primary clinical caregivers are required to follow the Guidelines outlined above. RESOURCES 1. Any patient, employee, volunteer or physician may contact the following resources: a. Ethics Committee b. Pastoral Care c. Social Services d. Patient Advocate e. Palliative Care f. Compassion and Choices of Oregon Phone: Mail: 4224 NE Halsey St, #335 Portland, OR References: Approvals: Originator: ORS , et. seq. RCW Ethics Committee Legal Services Executive Council MQ&C LH Board of Directors Legacy Legal Services

4 Death With Dignity Page 4 of 5 REQUEST FOR MEDICATION TO END MY LIFE IN A HUMANE AND DIGNIFIED MANNER (OREGON ONLY) I, _, am an adult of sound mind. ATTACHMENT I I am suffering from, which my attending physician has determined is a terminal disease and which has been medically confirmed by a consulting physician. I have been fully informed of my diagnosis, prognosis, the nature of medication to be prescribed and potential associated risks, the expected result and the feasible alternatives, including comfort care, hospice care and pain control. I request that my attending physician prescribe medication that will end my life in a humane and dignified manner. Initial One I have informed my family of my decision and take their opinions into consideration. I have decided not to inform my family of my decision. I have no family to inform of my decision. I understand that I have the right to rescind this request at any time. I understand the full import of this request and I expect to die when I take the medication to be prescribed. I further understand that although most deaths occur within three hours, my death may take longer and my physician has counseled me about this possibility. I make this request voluntarily and without reservation and I accept full moral responsibility for my actions. (Signed) We declare that the person signing this request: DECLARATION OF WITNESSES (a) (b) (c) (d) is personally known to us or has provided proof of identity; signed this request in our presence; appears to be of sound mind and not under duress, fraud or undue influence; is not a patient for whom either of us is attending physician. (Witness #1) (Witness #2) _ Note: One witness shall not be 1) a relative (by blood, marriage or adoption) of the person signing this request; 2) a person entitled to any portion of the patient s estate upon death;; or 3) an owner, operator or employee of a healthcare facility where the patient is receiving medical treatment or is a resident. If the patient is an inpatient at a long-term care facility, one of the witnesses shall be an individual designated by the facility.

5 Death With Dignity Page 5 of 5 REQUEST FOR MEDICATION TO END MY LIFE IN A HUMAN [HUMANE] AND DIGNIFIED MANNER (WASHINGTON ONLY) ATTACHMENT II I, , am an adult of sound mind. I am suffering from , which my attending physician has determined is a terminal disease and which has been medically confirmed by a consulting physician. I have been fully informed of my diagnosis, prognosis, the nature of medication to be prescribed and potential associated risks, the expected result, and the feasible alternatives, including comfort care, hospice care, and pain control. I request that my attending physician prescribe medication that I may self-administer to end my life in a humane and dignified manner and to contact any pharmacist to fill the prescription. INITIAL ONE:..... I have informed my family of my decision and taken their opinions into consideration I have decided not to inform my family of my decision I have no family to inform of my decision. I understand that I have the right to rescind this request at any time. I understand the full import of this request and I expect to die when I take the medication to be prescribed. I further understand that although most deaths occur within three hours, my death may take longer and my physician has counseled me about this possibility. I make this request voluntarily and without reservation, and I accept full moral responsibility for my actions. Signed: Dated: DECLARATION OF WITNESSES By initialing and signing below on or after the date the person named above signs, we declare that the person making and signing the above request: Witness 1 Witness 2 Initials Initials Is personally known to us or has provided proof of identity; Signed this request in our presence on the date of the person's signature; Appears to be of sound mind and not under duress, fraud, or undue influence; Is not a patient for whom either of us is the attending physician. Printed Name of Witness 1: Signature of Witness 1/Date: Printed Name of Witness 2: Signature of Witness 2/Date: NOTE: One witness shall not be a relative by blood, marriage, or adoption of the person signing this request, shall not be entitled to any portion of the person's estate upon death, and shall not own, operate, or be employed at a health care facility where the person is a patient or resident. If the patient is an inpatient at a health care facility, one of the witnesses shall be an individual designated by the facility.

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